{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:55:39Z","timestamp":1777312539738,"version":"3.51.4"},"reference-count":28,"publisher":"Hamad bin Khalifa University Press (HBKU Press)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,15]]},"abstract":"<jats:p>Microlaryngoscopy for benign vocal cord lesion excision is a procedure with good outcomes and relatively few complications that is performed worldwide. The anterior one-third of the vocal cords is a relatively common site to find benign polyps, and the excision of cases with adequate laryngeal exposure is relatively easy. However, they can sometimes present a challenge when laryngeal exposure is suboptimal, which leads to trouble in accessing the site. The factors that can lead to difficulties in laryngeal exposure are numerous, such as restricted mouth opening, limited neck extension, large tongue size, and others. The preoperative prediction of difficult laryngeal exposure (DLE) can be obtained by different scoring and grading systems. We have used the Laryngoscore in this case. However, management options for such cases remain limited. Here, we present a case that was managed using channeled cup forceps under fiberoptic endoscopy with the STRIVE-Hi technique used to administer anesthesia.<\/jats:p>","DOI":"10.5339\/qmj.2020.27","type":"journal-article","created":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T01:31:04Z","timestamp":1602811864000},"source":"Crossref","is-referenced-by-count":1,"title":["Channeled fiberoptic for vocal cord polyp excision under spontaneous respiration using intravenous anesthesia and hi-flow nasal oxygen (STRIVE-Hi) technique: A case report and review of the literature"],"prefix":"10.5339","volume":"2020","author":[{"given":"Abhishek","family":"Menon","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dina","family":"Emam","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olfa","family":"Al-Mannai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nabil","family":"Shallik","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muayad","family":"Al-Khafaji","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3277","reference":[{"key":"CIT0001","series-title":"Eur Arch Otorhinolaryngol.","first-page":"1471","article-title":"Analysis of pressure applied during microlaryngoscopy","volume":"269","author":"Fang\n\u00a0\nR","year":"2012"},{"key":"CIT0002","series-title":"Acta Otolaryngol.","first-page":"635","article-title":"Airtraq\u2122 laryngoscope: A solution for difficult laryngeal exposure in phonomicrosurgery","volume":"137","author":"Li\n\u00a0\nL","year":"2017"},{"key":"CIT0003","series-title":"Laryngoscope.","first-page":"2561","article-title":"Preoperative clinical predictors of difficult laryngeal exposure for microlaryngoscopy: The Laryngoscore","volume":"124","author":"Piazza\n\u00a0\nC","year":"2014"},{"key":"CIT0004","series-title":"Anaesthesia.","first-page":"1041","article-title":"Evaluation of an improved scoring system for the grading of direct laryngoscopy","volume":"53","author":"Yentis\n\u00a0\nSM","year":"1998"},{"key":"CIT0005","series-title":"Ann Otol Rhinol Laryngol.","first-page":"669","article-title":"\u201cExternal counterpressure\u201d and \u201cinternal distention\u201d for optimal laryngoscopic exposure of the anterior glottal commissure","volume":"103","author":"Zeitels\n\u00a0\nSM","year":"1994"},{"key":"CIT0006","series-title":"Ann Otol Rhinol Laryngol Suppl.","first-page":"2","article-title":"Universal modular glottiscope system: The evolution of a century of design and technique for direct laryngoscopy","volume":"179","author":"Zeitels\n\u00a0\nSM","year":"1999"},{"key":"CIT0007","series-title":"Ann Otol Rhinol Laryngol.","first-page":"16","article-title":"Suspension laryngoscopy revisited","volume":"113","author":"Zeitels\n\u00a0\nSM","year":"2004"},{"key":"CIT0008","unstructured":"Jackson C. Position of the patient for peroral endoscopy. In: Peroral Endoscopy and Laryngeal Surgery. St. Louis, Mo: The Laryngoscope Co.; 1915. p. 77\u201388\n."},{"key":"CIT0009","series-title":"J Voice.","first-page":"189","article-title":"Vocal fold exposure in phonosurgery","volume":"7","author":"Vaughan\n\u00a0\nCW","year":"1993"},{"key":"CIT0010","series-title":"Ann Otol Rhinol Laryngol.","first-page":"715","article-title":"Analysis of the forces and position required for direct laryngoscopic exposure of the anterior vocal folds","volume":"108","author":"Hochman\n\u00a0\nII","year":"1999"},{"key":"CIT0011","series-title":"J Voice.","first-page":"305","article-title":"Video-assisted rigid endoscopic laryngosurgery: Application to cases with difficult laryngeal exposure","volume":"15","author":"Kawaida\n\u00a0\nM","year":"2001"},{"issue":"Suppl. 2","key":"CIT0012","series-title":"Surg Endosc.","first-page":"S484","article-title":"Operating videoscope for microlaryngeal surgery","volume":"20","author":"Kantor\n\u00a0\nE","year":"2006"},{"key":"CIT0013","series-title":"Indian J Otolaryngol Head Neck Surg.","first-page":"2","article-title":"Laryngeal fiberscopic surgery \u2013 An alternate approach to microlaryngeal surgery","volume":"61","author":"Anand\n\u00a0\nV","year":"2009"},{"key":"CIT0014","series-title":"Br J Anaesth.","first-page":"444","article-title":"SponTaneous Respiration using IntraVEnous anaesthesia and Hi-flow nasal oxygen (STRIVE Hi) maintains oxygenation and airway patency during management of the obstructed airway: an observational study","volume":"118","author":"Booth\n\u00a0\nAWG","year":"2017"},{"key":"CIT0001","series-title":"Eur Arch Otorhinolaryngol.","first-page":"1471","article-title":"Analysis of pressure applied during microlaryngoscopy","volume":"269","author":"Fang\n\u00a0\nR","year":"2012"},{"key":"CIT0002","series-title":"Acta Otolaryngol.","first-page":"635","article-title":"Airtraq\u2122 laryngoscope: A solution for difficult laryngeal exposure in phonomicrosurgery","volume":"137","author":"Li\n\u00a0\nL","year":"2017"},{"key":"CIT0003","series-title":"Laryngoscope.","first-page":"2561","article-title":"Preoperative clinical predictors of difficult laryngeal exposure for microlaryngoscopy: The Laryngoscore","volume":"124","author":"Piazza\n\u00a0\nC","year":"2014"},{"key":"CIT0004","series-title":"Anaesthesia.","first-page":"1041","article-title":"Evaluation of an improved scoring system for the grading of direct laryngoscopy","volume":"53","author":"Yentis\n\u00a0\nSM","year":"1998"},{"key":"CIT0005","series-title":"Ann Otol Rhinol Laryngol.","first-page":"669","article-title":"\u201cExternal counterpressure\u201d and \u201cinternal distention\u201d for optimal laryngoscopic exposure of the anterior glottal commissure","volume":"103","author":"Zeitels\n\u00a0\nSM","year":"1994"},{"key":"CIT0006","series-title":"Ann Otol Rhinol Laryngol Suppl.","first-page":"2","article-title":"Universal modular glottiscope system: The evolution of a century of design and technique for direct laryngoscopy","volume":"179","author":"Zeitels\n\u00a0\nSM","year":"1999"},{"key":"CIT0007","series-title":"Ann Otol Rhinol Laryngol.","first-page":"16","article-title":"Suspension laryngoscopy revisited","volume":"113","author":"Zeitels\n\u00a0\nSM","year":"2004"},{"key":"CIT0008","unstructured":"Jackson C. Position of the patient for peroral endoscopy. In: Peroral Endoscopy and Laryngeal Surgery. St. Louis, Mo: The Laryngoscope Co.; 1915. p. 77\u201388\n."},{"key":"CIT0009","series-title":"J Voice.","first-page":"189","article-title":"Vocal fold exposure in phonosurgery","volume":"7","author":"Vaughan\n\u00a0\nCW","year":"1993"},{"key":"CIT0010","series-title":"Ann Otol Rhinol Laryngol.","first-page":"715","article-title":"Analysis of the forces and position required for direct laryngoscopic exposure of the anterior vocal folds","volume":"108","author":"Hochman\n\u00a0\nII","year":"1999"},{"key":"CIT0011","series-title":"J Voice.","first-page":"305","article-title":"Video-assisted rigid endoscopic laryngosurgery: Application to cases with difficult laryngeal exposure","volume":"15","author":"Kawaida\n\u00a0\nM","year":"2001"},{"issue":"Suppl. 2","key":"CIT0012","series-title":"Surg Endosc.","first-page":"S484","article-title":"Operating videoscope for microlaryngeal surgery","volume":"20","author":"Kantor\n\u00a0\nE","year":"2006"},{"key":"CIT0013","series-title":"Indian J Otolaryngol Head Neck Surg.","first-page":"2","article-title":"Laryngeal fiberscopic surgery \u2013 An alternate approach to microlaryngeal surgery","volume":"61","author":"Anand\n\u00a0\nV","year":"2009"},{"key":"CIT0014","series-title":"Br J Anaesth.","first-page":"444","article-title":"SponTaneous Respiration using IntraVEnous anaesthesia and Hi-flow nasal oxygen (STRIVE Hi) maintains oxygenation and airway patency during management of the obstructed airway: an observational study","volume":"118","author":"Booth\n\u00a0\nAWG","year":"2017"}],"container-title":["Qatar Medical Journal"],"original-title":[],"link":[{"URL":"https:\/\/www.qscience.com\/view\/journals\/qmj\/2020\/2\/article-27.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.qscience.com\/downloadpdf\/journals\/qmj\/2020\/2\/article-27.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.qscience.com\/downloadpdf\/journals\/qmj\/2020\/2\/article-27.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:20:45Z","timestamp":1777310445000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.qscience.com\/view\/journals\/qmj\/2020\/2\/article-27.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,15]]},"references-count":28,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.5339\/qmj.2020.27","relation":{},"ISSN":["2227-0426"],"issn-type":[{"value":"2227-0426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,15]]}}}